title: [Adnexal torsion: three cases].
abstract: Adnexal torsion is a gynecological emergency caused by the torsion of the ovary over its pedicle producing lymphatic and venous stasis, later it develops into ischemia and necrosis, when is not treated. Until recently, the treatment for adnexal torsion has been adnexectomy. This paper report three cases treated successfully with conservative treatment. It is essential to establish a protocol for adnexal torsion management where radical treatments are abandoned and conservative surgeries, such as detorsion and plication, are performed. We suggest as a first choice management adnexal detorsion, in case malignity is suspected to have intraoperative pathologic analysis, and based on the results to decide to preserve the adnexal or remove it for definitive cure.
authors.affiliation: Hospital Santa Rosa de Lima, Ensenada, Baja California, Mexico. hmfertil@hotmail.com
authors.forename: Henry Aristóteles Mateo
authors.initials: HA
authors.lastname: Sánez
authors.forename: Grecia Carolina
authors.initials: GC
authors.lastname: Taboada-Pérez
authors.forename: Lysandra
authors.initials: L
authors.lastname: Hernández-Arroyo
authors.forename: Melissa
authors.initials: M
authors.lastname: Mateo-Madrigal
authors.forename: Victoria
authors.initials: V
authors.lastname: Mateo-Madrigal
mesh_terms: D000291:Adnexal Diseases / Q000175:diagnosis* / Q000628:therapy*; D000293:Adolescent; D000328:Adult; D002985:Clinical Protocols; D005260:Female; D006801:Humans; D014102:Torsion Abnormality